Connected Outpatient Inc. | |
14242 Ventura Blvd Ste 211 Sherman Oaks CA 91423-2757 | |
(747) 217-4033 | |
(747) 217-4380 |
Full Name | Connected Outpatient Inc. |
---|---|
Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 14242 Ventura Blvd Ste 211, Sherman Oaks, California |
Authorized Official Name and Position | Jevan Jim Chimayan (VICE PRESIDENT) |
Authorized Official Contact | 8184140525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Connected Outpatient Inc. 14242 Ventura Blvd Ste 211 Sherman Oaks CA 91423-2757 Ph: (747) 217-4033 | Connected Outpatient Inc. 14242 Ventura Blvd Ste 211 Sherman Oaks CA 91423-2757 Ph: (747) 217-4033 |
NPI Number | 1922716646 |
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Provider Enumeration Date | 11/10/2022 |
Last Update Date | 05/24/2024 |
Certification Date | 05/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922716646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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